0001778111-20-000002.txt : 20200303 0001778111-20-000002.hdr.sgml : 20200303 20200303163021 ACCESSION NUMBER: 0001778111-20-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200228 FILED AS OF DATE: 20200303 DATE AS OF CHANGE: 20200303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Bill CENTRAL INDEX KEY: 0001778111 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 20682769 MAIL ADDRESS: STREET 1: C/O NATIONAL VISION HOLDINGS, INC. STREET 2: 2435 COMMERCE AVENUE, BUILDING 2200 CITY: DULUTH STATE: GA ZIP: 30096 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: National Vision Holdings, Inc. CENTRAL INDEX KEY: 0001710155 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] IRS NUMBER: 464841717 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 2435 COMMERCE AVENUE STREET 2: BLDG. 2200 CITY: DULUTH STATE: GA ZIP: 30096-4980 BUSINESS PHONE: (770) 822-3600 MAIL ADDRESS: STREET 1: 2435 COMMERCE AVENUE STREET 2: BLDG. 2200 CITY: DULUTH STATE: GA ZIP: 30096-4980 4 1 wf-form4_158327100390301.xml FORM 4 X0306 4 2020-02-28 0 0001710155 National Vision Holdings, Inc. EYE 0001778111 Clark Bill C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG. 2200 DULUTH GA 30096-4980 0 1 0 0 SVP, Chief People Officer Restricted Stock Units 2020-02-28 4 A 0 2298 0 A Common Stock 2298.0 13275 D Stock Option (Right to Buy) 34.82 2020-02-28 4 A 0 5844 34.82 A 2030-02-28 Common Stock 5844.0 5844 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. The restricted stock units will vest in three equal annual installments beginning on the first anniversary of the grant date. The option vests in three equal annual installments beginning on the first anniversary of the grant date. /s/ Jared Brandman, as Attorney-in-Fact 2020-03-03